| NPI | 1811207707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD T DAVIDSON Managing Member 770-641-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002001) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004179) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2011-07-13 |